AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 4; Ask the Editor

Coding Social Determinants of Health Based on Documentation from Other Clinicians

Please define “clinicians” in the context of the ICD-10-CM Official Guidelines for Coding and Reporting, which allow code assignment for social determinants of health codes based on medical record documentation from clinicians involved in the care of the patient who are not the patient’s provider since this information represents social information, rather than medical diagnoses. For example, may coding professionals utilize documentation of social information from social workers or community health workers in order to assign codes for social determinants of health? ...

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